Mohammad, Bb Girl .

HRN: 24-45-86  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/02/2024
AMPICILLIN 250MG (VIAL)
02/02/2024
02/08/2024
IVT
115
Q12hrs
Aspiration Pneumonia
Checking Final Appropriateness 
02/02/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
02/02/2024
02/08/2024
IVT
12mg
Od
Aspiration Pneumonia
Checking Final Appropriateness 
02/02/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
02/02/2024
02/08/2024
IVT
12mg
Od
Aspiration Pneumonia
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: